Individual
JEFFREY GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-A
Contact information
Practice address
504 WOLCOTT RD STE C, WOLCOTT, CT 06716-2462
(203) 504-9507
Mailing address
504 WOLCOTT RD STE C, WOLCOTT, CT 06716-2462
(203) 504-9507
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6850
CT
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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